Frederick Joseph Falvo Jr. – Psychiatry Physician

Key facts

NPI: 1275685653
Entity type: Individual (NPI type 1)
Primary specialty: Psychiatry Physician 2084P0800X
License: A86045 (CA)
Practice address: 3102 E. Highland Avenue
Medical Staff Office
Patton, CA 92369
Phone: (909) 425-7679
Fax: (909) 425-6635
NPI assigned: Jan 17, 2007
Sex: Male
Sole proprietor: No

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Department of State Hospitals Psychiatric Hospital · Coalinga, CA · NPI 1124078704

Medicare reassignment NPD CA
Telecare Corporation Mental Health Clinic/Center (Including Community Mental Health Center) · San Diego, CA · NPI 1720164882

Medicare reassignment NPD CA
Department of State Hospitals Psychiatric Hospital · Patton, CA · NPI 1043249204

NPD
Department of State Hospitals Psychiatric Hospital · Atascadero, CA · NPI 1174573802

NPD
Telecare Corporation Mental Health Clinic/Center (Including Community Mental Health Center) · San Bernardino, CA · NPI 1124100383

NPD
Telecare Corporation Mental Illness Community Based Residential Treatment Facility · San Diego, CA · NPI 1275398935

NPD
Telecare Corporation Health Maintenance Organization · San Bernardino, CA · NPI 1770741282

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Enrolled in CA
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20091216000230	CA	Practitioner - Psychiatry	7618017039	Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
86045	CA	MD	Clinical Social Worker

Practice roles

Organization	Status	New patients
Telecare Corporation	Current since Dec 10, 2009	Accepting new patients
Department of State Hospitals	Current since Sep 20, 2009	Accepting new patients
Department of State Hospitals	Current since Sep 20, 2009	Accepting new patients
Department of State Hospitals	Current	Accepting new patients
Telecare Corporation	Current	Accepting new patients
Telecare Corporation	Current since Dec 10, 2009	Accepting new patients
Telecare Corporation	Past	Accepting new patients

Locations

1080 Marina Village Pkwy
Ste 100
Alameda, CA 94501
Phone (510) 306-5660

3102 E Highland Ave
Ofc
Patton, CA 92369
Phone (909) 425-7000

3102 E Highland Ave
Patton, CA 92369
Phone (909) 425-7000

1600 9th St
Ste 150
Sacramento, CA 95814
Phone (916) 651-8811

1215 O St
#3
Sacramento, CA 95814
Phone (916) 651-2805

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Psychiatry Physician	2084P0800X	A86045	CA	Yes

Addresses

Primary practice location

3102 E. Highland Avenue
Medical Staff Office
Patton, CA 92369

Mailing address

3102 E. Highland Avenue
Medical Staff Office
Patton, CA 92369
Phone (909) 425-7679

Other practice location 1

4000 Orange St
Riverside, CA 92501-3613
Phone (951) 358-3589

Other providers in Patton, CA

All providers in Patton, CA · Psychiatry Physician in California

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 1, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.